The Journal of Thoracic and Cardiovascular Surgery
Volume 128, Issue 4 , Pages 629-631 , October 2004

Transit-time flow measurement cannot detect wrong anastomosis of an internal thoracic artery with the cardiac vein in coronary artery surgery

  • Yoshiyuki Takami, MD

      Affiliations

    • Division of Cardiovascular Surgery, Kasugai Municipal Hospital, Kasugai, Japan
    • Corresponding Author InformationAddress for reprints: Yoshiyuki Takami, MD, Division of Cardiovascular Surgery, Kasugai Municipal Hospital, 1-1-1 Takagi-cho, Kasugai City 486-8510 Japan
  • ,
  • Hiroshi Masumoto, MD

Received 29 January 2004 ,Accepted 23 February 2004.

  • Image Result

    A, An intraoperative flow tracing of an in situ LITA grafted to the left anterior descending artery (LAD) in a 72-year-old man. The mean flow was 48 mL/min, the pulsatility index was 1.6, the percenta

    A, An intraoperative flow tracing of an in situ LITA grafted to the left anterior descending artery (LAD) in a 72-year-old man. The mean flow was 48 mL/min, the pulsatility index was 1.6, the percentage of insufficiency was 0%, and the flow was predominantly diastolic, forming a trapezoid-shaped waveform with a short systolic peak. B, A postoperative angiogram showing the LITA anastomosed wrongly with the cardiac vein.

  • Image Result
    A, An intraoperative flow tracing of an in situ LITA grafted to the left anterior descending artery (LAD) in a 62-year-old man. The mean flow was 48 mL/min, the pulsatility index was 1.4, the percenta

    A, An intraoperative flow tracing of an in situ LITA grafted to the left anterior descending artery (LAD) in a 62-year-old man. The mean flow was 48 mL/min, the pulsatility index was 1.4, the percentage of insufficiency was 0%, and the flow was predominantly diastolic, forming a trapezoid-shaped waveform with a short systolic peak. B, A postoperative angiogram showing the patent LITA anastomosed correctly to the left anterior descending artery.

PII: S0022-5223(04)00424-6

doi: 10.1016/j.jtcvs.2004.02.032

The Journal of Thoracic and Cardiovascular Surgery
Volume 128, Issue 4 , Pages 629-631 , October 2004